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24 - SEVEN HOME CARE INC

Agencies Nursing Care

Provider NPI: 1467916205

Organization Information:
Organization Name:  24 - SEVEN HOME CARE INC
Organization is not Subpart
Authorized Official:  OVIE  AVWENAGHAGHA  CEO  612-886-2828

Practice Location:
7111 W BROADWAY AVE STE 202D  BROOKLYN PARK, MN 55428-1692 US
Tel: 612-886-2828  Fax: --

Business Mailing Address:
7111 W BROADWAY AVE STE 202D  BROOKLYN PARK, MN 55428-1692 US
Tel: 612-886-2828  Fax: 612-886-2861

NPI Information:
NPI: 1467916205
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N251J00000XAgencies
Nursing Care
N251S00000XAgencies
Community/Behavioral Health
N253Z00000XAgencies
In Home Supportive Care
N311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
N320900000XResidential Treatment Facilities
Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
N385H00000XRespite Care Facility
Respite Care
Y251E00000XAgencies
Home Health

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 251E00000X

Type:

Classification:



Definition:



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